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The Journal of Bone and Joint Surgery, Vol 60, Issue 3 325-327, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc


JOURNAL CONTENTS

Intra-articular pressure as a factor in initiating ulnar drift

IP Clark, DF James and JC Colwill

To determine the possible relevance of intra-articular pressure in the production of ulnar drift, metacarpophalangeal joints of fresh cadaver specimens were injected with water to increase the intra-articular pressure. Of the thirty-two joints tested, ulnar deviation was produced in twenty-three, flexion in twenty-four, and simultaneous ulnar deviation and flexion (ulnar drift) in nineteen. In two or three instances, the displacement was in extension or radial deviation. These results suggest that elevated intra-articular pressure may be a factor in the initiation of ulnar drift in patients with rheumatoid arthritis.
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